Pastest Flashcards
What is the most common cause of small bowel obstruction in the UK?
Adhesions
What is the most common cause of small bowel obstruction in the UK?
Adhesions
Which test is most useful to confirm pancreatitis?
Lipase
How to differentiate acute cholecystitis from biliary colic?
Acute cholecystitis will have significantly raised inflammatory markers and tachycardia
Inflammatory markers in biliary colic?
Normal
Features of Crohn’s?
Weight loss Fatigue Perianal and perioral ulceration Joint pain Erythema nodosum
If you have thyroid malignancy invading the larynx, what investigation should you also do?
Indirect laryngoscopy
What is geographic tongue?
This is a common autosomal dominant condition - dorsum of the tongue has lots of erythematous depapillation.
Soreness is exacerbated by spicy foods
What should you do with an oral ulcer that has persisted for more than 2 weeks?
Biopsy it to exclude malignancy
Which hormone is produced in carcinoid syndrome?
Serotonin
How do you diagnose serotonin syndrome?
urine 5-hydroxyindoleactic acid
Symptoms of haemorrhoids
Rectal bleeding - usually on the paper or dripping into the toilet bowl
Soiling may occur (as the sphincter may not close completely)
Mucus discharge and pruritis may be symptoms
Who is Budd-Chiari more common in?
More common in pregnant women and those taking the oral contraceptive pill
Budd-Chiari triad?
Abdominal pain
Ascites
Hepatomegaly
What is Zollinger Ellison syndrome?
When you have excess gastric acid secretion - results in multiple severe gastric ulcers
Studies for achalasia?
Oesophageal manometry studies
CXR findings in achalasia?
Widened mediastinum
What is Cushing’s ulcer?
An ulcer associated with raised intracranial pressure
What might be associated with MEN1? (Ulcers)
Zollinger-Ellison syndrome
What is Paget’s disease of the nipple associated with?
Associated with an underlying ductal carcinoma of the breast
What does histology show in Paget’s disease of the nipple?
Histology shows “Pagetoid cells”
Independent predictor for severity of acute pancreatitis?
CRP!!!
What is the first line method to confirm the safe placement of an NG tube?
Aspirate 10mls and check the pH
Risk factors for gastric cancer?
High salt intake and living in areas with a high nitrate content in the soil …
Also exposure to rubber processing and
Chronic gastritis
